The authors have no conflicts of interest with the manufacturers
Falls of the elderly are associated with burden of caregivers in the community†
Version of Record online: 21 JUL 2006
Copyright © 2006 John Wiley & Sons, Ltd.
International Journal of Geriatric Psychiatry
Volume 21, Issue 8, pages 740–745, August 2006
How to Cite
Kuzuya, M., Masuda, Y., Hirakawa, Y., Iwata, M., Enoki, H., Hasegawa, J., Izawa, S. and Iguchi, A. (2006), Falls of the elderly are associated with burden of caregivers in the community. Int. J. Geriat. Psychiatry, 21: 740–745. doi: 10.1002/gps.1554
- Issue online: 14 AUG 2006
- Version of Record online: 21 JUL 2006
- Manuscript Accepted: 19 DEC 2005
- Manuscript Received: 26 OCT 2005
- Grant-in Aid for the Comprehensive Research on Aging and Health from the Ministry of Health, Labor, and Welfare of Japan. Grant Number: H17-chojyu-044
- Mitsui Sumitomo Insurance Welfare Foundation
- caregiver burden;
Little attention has been paid to the impact on caregivers who provide care to a family member who has falls. The purpose of the current study was to determine whether falls of care recipients are associated with caregivers' burden.
A cross-sectional study of 1874 community-dwelling care recipients and 1478 caregivers was conducted. We examined the characteristics of care recipients and caregivers, including demographic characteristics, depressive mood as assessed by the Geriatric Depression Scale (GDS-15), the basic activities of daily living (bADL), fall history in the past 6 months, and physician-diagnosed chronic diseases to determine whether there was an association with caregivers' burden as assessed by the Zarit Burden Interview (ZBI).
A total of 567 care recipients (30.3%) had a history of falls in the past 6 months. The mean ZBI score of caregivers with falls was significantly higher than that of caregivers without falls. There were negative correlations between the ZBI score and recipient bADL score and positive correlations between the ZBI score and GDS-15 scores of the recipient and caregiver, the level of severity of dementia, and the Charlson comorbidity index. Male recipient, fall history, behavioral disturbance, and dementia had significantly higher ZBI scores than those of controls. The stepwise multiple regression analyses found that the GDS-15 score of caregivers and recipients, level of severity of dementia, bADL score, and fall history were independently associated with the ZBI score.
Among the community-dwelling frail elderly, falls are associated with caregiver burden even when controlling for various possible confounding factors. Copyright © 2006 John Wiley & Sons, Ltd.